MACON CARDIOVASCULAR INSTITUTE – Surgery Physician, NPI 1104866599

MACON CARDIOVASCULAR INSTITUTE is a healthcare provider. based in Macon, Georgia. specializing in Surgery Physician. The NPI Number for MACON CARDIOVASCULAR INSTITUTE is 1104866599

Main info

Organization
Name
MACON CARDIOVASCULAR INSTITUTE
NPI
1104866599
Phone
(478) 743-9762
Address
575 1ST ST
Authorized Official
MRS. LUCY F DERMO BUSINESS MANAGER
Enumeration Date
7 June 2006
Last Update Date
11 September 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness85
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for MACON CARDIOVASCULAR INSTITUTE

  • 575, 1st Street, Macon, Bibb County, Georgia, 31201, United States

    MACON, GA 312012825

    Phone: (478) 743-9762

    Fax: (478) 746-6612

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 31201)

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Frequently asked questions

How do I look up MACON CARDIOVASCULAR INSTITUTE by NPI?
Use NPI 1104866599 when you need to reference MACON CARDIOVASCULAR INSTITUTE in forms, claims, or directories.
Is MACON CARDIOVASCULAR INSTITUTE's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does MACON CARDIOVASCULAR INSTITUTE work in?
You can think of MACON CARDIOVASCULAR INSTITUTE as practicing within Surgery Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for MACON CARDIOVASCULAR INSTITUTE?
The page summarizes Macon, Georgia for MACON CARDIOVASCULAR INSTITUTE; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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